Organization
BRADLEY BEACH PAHRAMCY INC.
Active
Other names
BRADLEY BEACH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YATMAN KEUNG (PRESIDENT)
(732) 774-7174
Entity
Organization
Contact information
Practice address
128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
(732) 774-7174
(732) 774-7175
Mailing address
128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
(732) 774-7174
(732) 774-7175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00380000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058285
PK
—
05
—
4372808
—
NJ
Enumeration date
12/26/2006
Last updated
11/15/2016
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